TY - JOUR
T1 - Shoulder Hemiarthroplasty with Nonprosthetic Glenoid Arthroplasty
T2 - The Ream-and-Run Procedure
AU - Matsen, Frederick A.
AU - Carofino, Bradley C.
AU - Green, Andrew
AU - Hasan, Samer S.
AU - Hsu, Jason E.
AU - Lazarus, Mark D.
AU - McElvany, Matthew D.
AU - Moskal, Michael J.
AU - Parsons, I. Moby
AU - Saltzman, Matthew D.
AU - Warme, Winston J.
N1 - Publisher Copyright:
Copyright © 2021 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved.
PY - 2021/8/25
Y1 - 2021/8/25
N2 - »: Glenoid component wear and loosening are the principal failure modes of anatomic total shoulder arthroplasty (aTSA). »: The ream-and-run (RnR) procedure is an alternative glenohumeral arthroplasty for patients who wish to avoid the risks and limitations of a prosthetic glenoid component. »: During the RnR procedure, the arthritic glenoid is conservatively reamed to a single concavity, while the prosthetic humeral component and soft tissues are balanced to provide both mobility and stability of the joint. »: The success of the RnR procedure depends on careful patient selection, preoperative education and engagement, optimal surgical technique, targeted rehabilitation, and close postoperative communication between the surgeon and the patient. »: While the RnR procedure allows high levels of shoulder function in most patients, the recovery can be longer and more arduous than with aTSA. »: Patients who have undergone an RnR procedure occasionally require a second closed or open procedure to address refractory shoulder stiffness, infection, or persistent glenoid-sided pain. These second procedures are more common after the RnR than with aTSA.
AB - »: Glenoid component wear and loosening are the principal failure modes of anatomic total shoulder arthroplasty (aTSA). »: The ream-and-run (RnR) procedure is an alternative glenohumeral arthroplasty for patients who wish to avoid the risks and limitations of a prosthetic glenoid component. »: During the RnR procedure, the arthritic glenoid is conservatively reamed to a single concavity, while the prosthetic humeral component and soft tissues are balanced to provide both mobility and stability of the joint. »: The success of the RnR procedure depends on careful patient selection, preoperative education and engagement, optimal surgical technique, targeted rehabilitation, and close postoperative communication between the surgeon and the patient. »: While the RnR procedure allows high levels of shoulder function in most patients, the recovery can be longer and more arduous than with aTSA. »: Patients who have undergone an RnR procedure occasionally require a second closed or open procedure to address refractory shoulder stiffness, infection, or persistent glenoid-sided pain. These second procedures are more common after the RnR than with aTSA.
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U2 - 10.2106/JBJS.RVW.20.00243
DO - 10.2106/JBJS.RVW.20.00243
M3 - Article
C2 - 34432729
AN - SCOPUS:85127289870
VL - 9
JO - JBJS Reviews
JF - JBJS Reviews
SN - 2329-9185
IS - 8
ER -